Miller, Matthew Braden Burns

Miller, Matthew Braden Burns is an individual health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Miller, Matthew Braden Burns can be contacted via phone (860) 694-3094.

Contact Information

Primary practice address
1 Wahoo Ave Groton CT 06349
Phone: (860) 694-3094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00009227 Washington
Dental Providers / Periodontics 1223P0300X 12339 Connecticut

Profile Details

NPI number 1043207004
LBN Legal business name Miller, Matthew Braden Burns
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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